spina bifida Flashcards
a spinal cord malformation is what
spina bifida
what are the classification of spina bifida
spina bifida occulta ..hairy patch
opened posterior vertebral body
meningocele…protrusion of the menings
myelomingocele….protrusion and opened spinal cord
spina bifida occulta classifications
depending on the degree of neural involvement
asymptomatic
urinary system
diagnosis is made after an x-ray
facts about the meningocele
its rare
theres a herniation
mild disability
what is the most common type of spina bifida
myelomeningocele
the neural tube extends from where to where
brain to the spinal cord
the neural tube develops from where
neural layer early in the embryonic development
what are neural tube defects
these are malformations that occur during the opening and the closing of the neural tube
factors that can cause spina bifida
maternal stress
diabetes in pregnancy
maternal obesity
Fever in the first trimester
Family history
what is seen in 80 perc of people born with myelomeningocele
hydrocephalus
neurological symptoms seen in hydrocephalus
flask paralysis
lost tendon reflex
bowel and bladder incontinence
Muscle weakness
what can hydrocephalus be correceted with
shunt surgery
why do people with spina bifida have walking prob
muscle imbalance
foot defeormities
knee deformities
spine deformities
spastic lower extremity muscles
in which pediatric disorder is the cocktail parry syndrome seen in
spina bifida
at what region is the hip instability still problematic
lower lumber region
what are the probs seen in the evaluation of the sacral region
hip extensor and abductor paralysis
pes cavus
some aim of physiotherapy for the spina bifida
increase proprioception
develop physical activities
gain independent mobility
preven deformities
prevent contracture
two things to be done by the physiotherapsists in the neonatal region
passive movements and stretching ex for muscle length and rom
positioning to improve and maintain normal posture
what are the common deformities in the neonatal period
talipes equinovarus or TEV
congenital hip dislocation
what is the treatment for the child in the neonatal period of spina bifida
varus and equine postion should be treated by bringing the foor to eversion and dorsiflexion with plaster splinting
why is abduction splints not required in theneonatal period
they will cause abduction contractures
things that are really important in the neonatal period
Passive exercises, stretching exercises, positioning, skin care and
family education
important things in the pt for preschool
home arrangements
passive exercise and stretching exercise
active arm and upper extremity movements
family education
what month does children with spina bifida start to stand
18-24 months
a device used to aid ambulation and standing in spina bifida is
KAFO
In what disorder is windswepthip seen in the preschool period
spina bifida
what is the windswept hip
one hip is adducted the other is abducted due to prolonged sitting
the most important problems in the adolescent period is
social and emotional prob
socail isolation and obesity
In uncontrollable hydrocephalus is children what happens to the neurological symptoms
Mental and motor
Becomes indefinite
Ment and motor becomes retarded
